HomeMy WebLinkAbout06-07-11COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601 PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NICHOLA EST HILL DRIVE
2215 FOR
SUITE 37
HARRISBURG, PA 17112-1099
ACN
ASSESSMEN
CONTROL
NUMBER
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ESTATE INFORMATION:
FILE NUMBER:
DECEDENT NAME:
DATE OF PAYMENT:
POSTMARK DATE:
COUNTY:
DATE OF DEATH:
SSN: 193-12-8916
2111-0431
PROKOP JOHN L
06/07/2011
06/07/2011
CUMBERLAND
03/09/2011
101
II
REV-1162 EX(11-96)
$127,500.00
TOTAL AMOUNT PAID:
REMARKS:
SEAL
CHECK#123
INITIALS: DB
RECEIVED BY:
GLEND EARNER S RAStiAUVrt
REGIST R OF WILL
REGISTER OF WILLS